MEDICARE: MS. DAWN CROWLEY APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN9290967	FL
2	363LF0000X	Family Nurse Practitioner	APRN11015927	FL

General Provider Information

NPI Number	:	1699371799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAWN CROWLEY APRN

Provider Business Mailing Address
First Line	:	14750 NW 77TH CT STE 100
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-1507
Country	:	US
Telephone Number	:	786-758-3165
Fax Number	:

Provider Business Practice Location Address
First Line	:	4450 E FLETCHER AVE STE D
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-4907
Country	:	US
Telephone Number	:	813-632-8861
Fax Number	:	813-977-1742

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2020
Last Update Date	:	05/19/2023

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